本文分析了61例房间隔缺损(ASD),临床诊断均经心导管和/或手术证实。手术治疗的50例中,继发孔缺损44例,原发孔缺损6例,ASD合并轻度肺动脉瓣狭窄5例,ASD合并右肺静脉异位引流入右房1例。作者强调超声心动图检查对诊断有很大帮助。ASD病人并不是全都需要进行常规的心导管检查。 This article analyzes 61 cases of atrial septal defect (ASD), clinical diagnosis was confirmed by cardiac catheterization and / or surgery. Among the 50 cases of surgical treatment, there were 44 cases of secondary hole defect, 6 cases of primary hole defect, 5 cases of ASD combined with mild pulmonary valve stenosis and 1 case of ASD complicated with right auricle drainage. The authors emphasize that echocardiography can be very helpful in the diagnosis. Not all ASD patients need routine cardiac catheterization.